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2021 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY

Drug Names Containing the Letter I in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
Packaging NDC On This Nbr of 2021 Formularies
PDPs MAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)
    10631011531 0
PDPs
4
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
    10631011631 0
PDPs
4
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)
    10631013331 0
PDPs
8
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
    10631011731 0
PDPs
4
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)
    10631013431 0
PDPs
8
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
    10631011831 0
PDPs
4
MAPDs
ABSORICA LD 16 MG CAPSULE
(Isotretinoin)
CAPSULES   10631000331 0
PDPs
5
MAPDs
ABSORICA LD 24 MG CAPSULE
(Isotretinoin)
CAPSULES   10631000531 0
PDPs
5
MAPDs
ABSORICA LD 32 MG CAPSULE
(Isotretinoin)
CAPSULES   10631000731 0
PDPs
5
MAPDs
ABSORICA LD 8 MG CAPSULE
(Isotretinoin)
CAPSULES   10631000231 0
PDPs
5
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1b (E. coli))
ml   75987011111 70
PDPs
392
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 0
PDPs
8
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 0
PDPs
8
MAPDs
AFREZZA 12 UNIT CARTRIDGE INHAL
(insulin)
    47918089190 0
PDPs
6
MAPDs
AFREZZA 4 UNIT/8 UNIT/12 UNIT
(insulin)
    47918090218 0
PDPs
6
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)
    47918087490 0
PDPs
6
MAPDs
AFREZZA 8 UNIT CARTRIDGE INHAL
(insulin)
    47918087890 0
PDPs
6
MAPDs
AFREZZA 90-4 UNIT / 90-8 UNIT
(insulin)
    47918088018 0
PDPs
6
MAPDs
AFREZZA 90-8 UNIT / 90-12 UNIT CARTRIDGE INHAL
(insulin)
units   47918089818 0
PDPs
6
MAPDs
ALDARA 5% CREAM
(Imiquimod)
    99207026012 3
PDPs
8
MAPDs
AMNESTEEM 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   00378661193 57
PDPs
311
MAPDs
AMNESTEEM 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   00378661293 57
PDPs
313
MAPDs
AMNESTEEM 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   00378661493 57
PDPs
311
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML   00088250033 0
PDPs
26
MAPDs
ARCAPTA NEOHALER 75 MCG CAPSULE
(INDACATEROL MALEATE)
30 EA   63402067530 0
PDPs
27
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN 00597008717 68
PDPs
344
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30.000 EA   00024585530 3
PDPs
10
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 EA   00024585630 3
PDPs
10
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)
30 EA   00024585130 3
PDPs
10
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)
30.000 EA   00024585230 3
PDPs
10
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)
90 EA   00024585090 3
PDPs
10
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)
1 EA   59627033304 28
PDPs
279
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)
1 EA   59627022205 29
PDPs
279
MAPDs
AZATHIOPRINE 50 MG TABLET [Imuran]
()
30 TABLETS   60219107601 70
PDPs
392
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)
3.000 ML   00002771559 23
PDPs
130
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)
1.000 EA   50419052435 68
PDPs
314
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA   24338001018 19
PDPs
199
MAPDs
BIVIGAM 10% VIAL [Panzyga]
(Immune Globulin (Human))
50 MLS   69800650201 20
PDPs
202
MAPDs
BONIVA 150 MG TABLET
(Ibandronate Sodium)
3.000 EA   00004018683 0
PDPs
1
MAPDs
Cilastatin 250 MG / Imipenem 250 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323034925 70
PDPs
389
MAPDs
Cilastatin 500 MG / Imipenem 500 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323032225 70
PDPs
391
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105486 65
PDPs
336
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105586 67
PDPs
343
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK CARTON   00555105686 65
PDPs
341
MAPDs
CLARAVIS 40 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105786 66
PDPs
324
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513080060 70
PDPs
392
MAPDs
CORLANOR 5 MG/5 ML ORAL SOLUTION
(Ivabradine)
mls   55513081328 53
PDPs
332
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513081060 70
PDPs
392
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)
    00469052014 34
PDPs
150
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT 00006057143 70
PDPs
392
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)
180 CAPSULE in 1 BOTTLE   00006057362 70
PDPs
392
MAPDs
CROMOLYN 20 MG/2 ML NEB SOLUTION AMPUL-NEB [Intal]
(Cromolyn Sodium)
120 mls   69784020560 70
PDPs
341
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
    75987001003 7
PDPs
29
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE [Irenka]
(Duloxetine)
30 units   68180029706 17
PDPs
202
MAPDs
EPLERENONE 25 MG TABLET [Inspra]
(Eplerenone)
30 tablets   59762171002 50
PDPs
372
MAPDs
EPLERENONE 50 MG TABLET [Inspra]
(Eplerenone)
30 tablets   59762172001 50
PDPs
372
MAPDs
ERTAPENEM 1 GRAM VIAL [Invanz]
(Ertapenem)
3 mls   55150028220 70
PDPs
392
MAPDs
EXTAVIA 0.3 MG KIT
(Interferon Beta-1b)
UNITS   00078056912 7
PDPs
138
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010102 70
PDPs
392
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA   43068011002 70
PDPs
392
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)
    43068011202 70
PDPs
392
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010202 70
PDPs
392
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA   43068010402 70
PDPs
392
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010602 70
PDPs
392
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA   43068010802 70
PDPs
392
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA   43068011304 70
PDPs
385
MAPDs
FIASP 100 UNIT/ML FLEXTOUCH INSULIN PEN
(Insulin Aspart (Recombinant))
15 mls   00169320415 26
PDPs
227
MAPDs
FIASP 100 UNIT/ML VIAL
(Insulin Aspart (Recombinant))
10 mls   00169320111 26
PDPs
227
MAPDs
FIASP PENFILL 100 UNIT/ML CART CARTRIDGE
(Insulin Aspart (Recombinant))
mls   00169320515 26
PDPs
222
MAPDs
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)
3.000 ML   54092070203 4
PDPs
45
MAPDs
FLEBOGAMMA DIF 10% VIAL
(Immune Globulin (Human) IV)
50 MLS   61953000504 15
PDPs
189
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 36
PDPs
322
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265804 37
PDPs
307
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265603 37
PDPs
307
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 20
PDPs
230
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 41
PDPs
300
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)
100 MLS   64208823403 39
PDPs
301
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 41
PDPs
301
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 41
PDPs
301
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 53
PDPs
335
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 3
PDPs
9
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 3
PDPs
9
MAPDs
GUANFACINE HCL ER 1 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053301 35
PDPs
313
MAPDs
GUANFACINE HCL ER 2 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053401 35
PDPs
313
MAPDs
GUANFACINE HCL ER 3 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053601 35
PDPs
313
MAPDs
GUANFACINE HCL ER 4 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053801 35
PDPs
313
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 37
PDPs
147
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 43
PDPs
152
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 43
PDPs
149
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 43
PDPs
144
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 37
PDPs
143
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 43
PDPs
156
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 43
PDPs
156
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 43
PDPs
153
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 43
PDPs
151
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 43
PDPs
150
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 43
PDPs
157
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 43
PDPs
149
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 43
PDPs
157
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 43
PDPs
157
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 58
PDPs
335
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 58
PDPs
342
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
3 tablets   55111057503 69
PDPs
390
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)
21 EA   00069018821 70
PDPs
392
MAPDs
IBRANCE 100 MG TABLET
(Palbociclib)
21 TABLETS   00069048603 70
PDPs
392
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)
21 EA   00069018921 70
PDPs
392
MAPDs
IBRANCE 125 MG TABLET
(Palbociclib)
7 TABLETS   00069068803 70
PDPs
392
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)
21 EA   00069018721 70
PDPs
392
MAPDs
IBRANCE 75 MG TABLET
(Palbociclib)
7 TABLETS   00069028403 70
PDPs
392
MAPDs
IBU 600 MG TABLET [Toxicology Saliva Collection]
(Ibuprofen)
60 tablets   55111068305 70
PDPs
378
MAPDs
IBU 800 MG TABLET [Samson-8]
(Ibuprofen)
30 tablets   55111068405 70
PDPs
381
MAPDs
IBUPROFEN 100 MG/5 ML ORAL SUSPENSION [PediaCare Children's Pain Reliever/Fever Reducer IB]
(Ibuprofen)
120 MLS   45802095243 57
PDPs
363
MAPDs
IBUPROFEN 400 MG TABLET [Motrin]
(Ibuprofen)
90 tablets   67877031905 70
PDPs
392
MAPDs
IBUPROFEN 600 MG TABLET [Toxicology Saliva Collection]
(Ibuprofen)
60 tablets   67877032005 70
PDPs
392
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)
500 EA   67877032105 70
PDPs
392
MAPDs
ICATIBANT 30 MG/3 ML SYRINGE [FIRAZYR]
(ICATIBANT ACETATE)
9 mls   00093306693 58
PDPs
353
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)
tablets   63020053530 70
PDPs
392
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)
tablets   63020053430 70
PDPs
392
MAPDs
IDHIFA 100 MG TABLET
(Enasidenib Mesylate)
    59572071030 70
PDPs
392
MAPDs
IDHIFA 50 MG TABLET
(Enasidenib Mesylate)
    59572070530 70
PDPs
392
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)
1.7 ML   00065175007 45
PDPs
312
MAPDs
ILUMYA 100 MG/ML SYRINGE
(Tildrakizumab)
ml   47335017795 5
PDPs
67
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
()
90 TABLETS   47335047281 70
PDPs
392
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
()
30 tablets   00093763056 70
PDPs
392
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA   57962014009 70
PDPs
392
MAPDs
IMBRUVICA 140 MG TABLET
(Ibrutinib)
tablets   57962001428 40
PDPs
328
MAPDs
IMBRUVICA 280 MG TABLET
(Ibrutinib)
tablets   57962028028 48
PDPs
336
MAPDs
IMBRUVICA 420 MG TABLET
(Ibrutinib)
tablets   57962042028 70
PDPs
392
MAPDs
IMBRUVICA 560 MG TABLET
(Ibrutinib)
tablets   57962056028 70
PDPs
392
MAPDs
IMBRUVICA 70 MG CAPSULE
(Ibrutinib)
capsules   57962007028 70
PDPs
392
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005401 70
PDPs
392
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005501 70
PDPs
392
MAPDs
IMIPRAMINE HCL 50 MG TABLET
(Imipramine HCl)
100.000 EA   49884005601 70
PDPs
392
MAPDs
IMIPRAMINE PAMOATE 100 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
60 capsules   68180031506 17
PDPs
193
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027513 17
PDPs
193
MAPDs
IMIPRAMINE PAMOATE 150 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
capsules   68180031706 17
PDPs
193
MAPDs
IMIPRAMINE PAMOATE 75 MG CAPSULE [Tofranil-PM]
(Imipramine Pamoate)
30 capsules   68180031406 17
PDPs
193
MAPDs
IMIQUIMOD 3.75% CREAM PUMP [Zyclara]
(Imiquimod)
7.5 grams   68682027275 2
PDPs
75
MAPDs
IMIQUIMOD 5% CREAM PACKET
(Imiquimod)
24 EA   45802036862 70
PDPs
392
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073701 3
PDPs
8
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR 00173052300 3
PDPs
8
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK 00173073500 3
PDPs
8
MAPDs
IMITREX 4 MG/0.5 ML PEN INJECT
(Sumatriptan Succinate)
1 ML   00173073900 3
PDPs
9
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073601 3
PDPs
8
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR 00173052400 3
PDPs
8
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR 00173047800 3
PDPs
9
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL 00173044902 3
PDPs
9
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
    49281025051 70
PDPs
392
MAPDs
IMPOYZ 0.025% CREAM (G)
(Clobetasol)
60 GRAMS   69482070099 3
PDPs
5
MAPDs
IMURAN 50 MG TABLET
(Azathioprine)
30   54766059010 3
PDPs
10
MAPDs
IMVEXXY 10 MCG MAINTENANCE PAK INSERT
(Estradiol)
8 units   50261011008 10
PDPs
58
MAPDs
IMVEXXY 10 MCG STARTER PACK INSR DS PK
(Estradiol)
18 units   50261011018 10
PDPs
58
MAPDs
IMVEXXY 4 MCG MAINTENANCE PACK INSERT
(Estradiol)
8 units   50261010408 10
PDPs
58
MAPDs
IMVEXXY 4 MCG STARTER PACK INSR DS PK
(Estradiol)
18 units   50261010418 10
PDPs
58
MAPDs
INBRIJA 42 MG INHALATION CAPSULE W/DEV
(Levodopa)
60 units   10144034260 20
PDPs
135
MAPDs
INCASSIA 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)
28 tablets   65862092585 63
PDPs
364
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE per CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)
1 VIAL, MULTI-DOSE   15054104005 70
PDPs
392
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 48
PDPs
271
MAPDs
INDAPAMIDE 1.25 MG TABLET [Lozol]
(Indapamide)
30 tablets   00228259711 59
PDPs
378
MAPDs
INDAPAMIDE 2.5 MG TABLET [Lozol]
(Indapamide)
90 tablets   00228257111 59
PDPs
378
MAPDs
INDERAL LA 120 MG CAPSULE
(Propranolol HCl)
100 EA   62559052201 3
PDPs
8
MAPDs
INDERAL LA 160 MG CAPSULE
(Propranolol HCl)
100 EA   62559052301 3
PDPs
8
MAPDs
INDERAL LA 60 MG CAPSULE
(Propranolol HCl)
100 EA   62559052001 3
PDPs
8
MAPDs
INDERAL LA 80 MG CAPSULE
(Propranolol HCl)
100 EA   62559052101 3
PDPs
8
MAPDs
INDOCIN 25 MG/5 ML ORAL SUSPENSION
(Indomethacin)
237 mls   69344010101 1
PDPs
15
MAPDs
INDOCIN 50 MG SUPPOSITORY SUPP.RECT
(Indomethacin)
60 units   69344010233 1
PDPs
49
MAPDs
INDOMETHACIN 25 MG CAPSULE
(Indomethacin)
100.000 EA   31722054201 22
PDPs
218
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)
100 EA   31722054301 22
PDPs
218
MAPDs
INDOMETHACIN ER 75 MG CAPSULE ER [Indocin SR]
(Indomethacin)
30 capsules   10702001606 11
PDPs
158
MAPDs
INFANRIX DTAP VIAL
(Tetanus-Diphtheria Toxoids (Td))
    58160081011 70
PDPs
392
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)
CAPSULES   70370204001 19
PDPs
227
MAPDs
INGREZZA 80 MG CAPSULE
(Valbenazine)
30 EA   70370108001 19
PDPs
227
MAPDs
INGREZZA INITIATION PACK CAPSULE DS PK
(Valbenazine)
units   70370204806 19
PDPs
177
MAPDs
INLYTA 1 MG TABLET
(axitinib)
    00069014501 70
PDPs
392
MAPDs
INLYTA 5 MG TABLET
(axitinib)
    00069015111 70
PDPs
392
MAPDs
INNOPRAN XL 120 MG CAPSULE ER 24H
(Propranolol HCl Sustained-Release Beads)
capsules   62559059130 3
PDPs
63
MAPDs
INNOPRAN XL 80 MG CAPSULE ER 24H
(Propranolol HCl Sustained-Release Beads)
30 capsules   62559059030 3
PDPs
63
MAPDs
INREBIC 100 MG CAPSULE
(Fedratinib)
capsules   59572072012 70
PDPs
392
MAPDs
INSPRA 25 MG TABLET
(Eplerenone)
30 tablets   00025171001 3
PDPs
8
MAPDs
INSPRA 50 MG TABLET
(Eplerenone)
30 tablets   00025172003 3
PDPs
8
MAPDs
INSULIN ASPART 100 UNIT/ML CARTRIDGE
(Insulin Aspart (Recombinant))
15 MLS   73070010215 5
PDPs
70
MAPDs
INSULIN ASPART 100 UNIT/ML INSULIN PEN [NovoLog PenFill]
(Insulin Aspart (Recombinant))
15 MLS   73070010315 5
PDPs
70
MAPDs
INSULIN ASPART 100 UNIT/ML VIAL [NovoLog PenFill]
(Insulin Aspart (Recombinant))
10 MLS   73070010011 5
PDPs
70
MAPDs
INSULIN ASPART PROT-INSULN ASP INSULIN PEN [NovoLog Mix 70/30]
(Insulin Aspart (Recombinant), Insulin Aspart Protamine (Recombinant))
15 MLS   73070020315 5
PDPs
69
MAPDs
INSULIN ASPART PROT-INSULN ASP VIAL [NovoLog Mix 70/30]
(Insulin Aspart (Recombinant), Insulin Aspart Protamine (Recombinant))
10 MLS   73070020011 5
PDPs
70
MAPDs
INSULIN LISPRO 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   66733082259 13
PDPs
70
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [Humalog KwikPen]
(Insulin Lispro)
10 mls   66733077301 13
PDPs
70
MAPDs
INSULIN LISPRO JR 100 UNIT/ML INSULN PEN HF
(Insulin Lispro)
15 mls   00002775205 13
PDPs
68
MAPDs
INSULIN LISPRO MIX 75-25 KWIKPEN INSULN PEN [Humalog KwikPen Mix 75/25]
()
15 mls   00002823305 13
PDPs
68
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT 59676057001 70
PDPs
392
MAPDs
INTELENCE 200 MG TABLET
(Etravirine)
60 TABLETS   59676057101 70
PDPs
392
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA   59676057201 70
PDPs
392
MAPDs
INTRALIPID 20% IV FAT EMULSION
(Soybean Oil Injection)
    00338051909 67
PDPs
375
MAPDs
INTRALIPID 30% IV FAT EMULSION
(Fat)
    00338052013 44
PDPs
264
MAPDs
INTRAROSA 6.5 MG VAGINAL INSERT
(Prasterone (Gl701 Or DHEA))
28 units   64011060128 6
PDPs
37
MAPDs
INTRON A 10 MILLION UNITS VIAL
(Interferon Alfa-2B)
    00085435001 70
PDPs
392
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435101 70
PDPs
390
MAPDs
INTRON A 25 MILLION UNIT/2.5ML VIAL
(Interferon Alfa-2b)
mls   00085113301 70
PDPs
387
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435201 70
PDPs
392
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL 00085116801 70
PDPs
392
MAPDs
INTROVALE 0.15-0.03 MG TABLET TBDSPK 3MO [Setlakin]
()
91 units   70700011787 65
PDPs
371
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL 00006384371 3
PDPs
14
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055001 11
PDPs
8
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055101 11
PDPs
8
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055201 11
PDPs
11
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA   50458055401 8
PDPs
3
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML   50458056201 70
PDPs
392
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML   50458056301 70
PDPs
392
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML   50458056401 70
PDPs
392
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML   50458056001 70
PDPs
392
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML   50458056101 70
PDPs
392
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)
0.875 ML   50458060601 69
PDPs
384
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)
1.315 ML   50458060701 69
PDPs
384
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)
1.75 ML   50458060801 69
PDPs
384
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)
2.625 ML   50458060901 69
PDPs
384
MAPDs
INVELTYS 1% EYE DROP EYE DROPPER
(Loteprednol Etabonate)
2.8 MLS   71571012128 17
PDPs
96
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT 00004024451 70
PDPs
392
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054360 30
PDPs
166
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054260 30
PDPs
166
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054160 30
PDPs
165
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054060 30
PDPs
166
MAPDs
INVOKAMET XR 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094301 30
PDPs
162
MAPDs
INVOKAMET XR 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094201 30
PDPs
163
MAPDs
INVOKAMET XR 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094101 30
PDPs
163
MAPDs
INVOKAMET XR 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094001 30
PDPs
163
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA   50458014030 30
PDPs
171
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA   50458014130 30
PDPs
171
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR 00065066010 1
PDPs
109
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL 49281086010 70
PDPs
392
MAPDs
IPRAT-ALBUT 0.5-3(2.5) MG/3 ML
(Albuterol-Ipratropium Nebu)
    00378967130 51
PDPs
351
MAPDs
IPRATROPIUM 0.06% SPRAY
(Ipratropium Bromide Nasal)
15.000 ML   00054004641 70
PDPs
392
MAPDs
IPRATROPIUM BR 0.02% SOLUTION [Atrovent]
()
62.5 MLS   76204010025 70
PDPs
392
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 00054004544 70
PDPs
392
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
90 TABLETS   31722073090 70
PDPs
391
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
30 TABLETS   31722073190 70
PDPs
391
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
30 TABLETS   31722072990 70
PDPs
391
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
30 TABLETS   00054025422 70
PDPs
390
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan-Hydrochlorothiazide)
90 TABLETS   00054025522 70
PDPs
390
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 70
PDPs
392
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
1 unit   00006360361 70
PDPs
392
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
    00006047761 70
PDPs
392
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
    00006047361 70
PDPs
392
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 70
PDPs
392
MAPDs
ISENTRESS HD 600 MG TABLET
(Raltegravir)
tablets   00006308001 70
PDPs
392
MAPDs
ISIBLOOM 28 DAY TABLET [Solia]
(Desogestrel and Ethinyl Estradiol)
28 tablets   70700011385 67
PDPs
366
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG 00264773010 35
PDPs
293
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE 00264770300 35
PDPs
297
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA   00555006602 70
PDPs
392
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
100.000 EA   00555007102 70
PDPs
392
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT 46287000901 49
PDPs
338
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020315 0
PDPs
1
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020415 0
PDPs
1
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020615 0
PDPs
1
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
    00187019201 1
PDPs
5
MAPDs
ISORDIL TITRADOSE 5 MG TABLET
(Isosorbide Dinitrate)
    00187015201 3
PDPs
8
MAPDs
ISOSORBIDE DINITRATE 10 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS   00781155601 70
PDPs
392
MAPDs
ISOSORBIDE DINITRATE 20 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS   00781169501 70
PDPs
392
MAPDs
ISOSORBIDE DINITRATE 40 MG TABLET [Sorbitrate]
(Isosorbide Dinitrate)
90 TABLETS   70710115201 25
PDPs
134
MAPDs
ISOSORBIDE DN 30 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   49884000901 62
PDPs
382
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA   00143176901 70
PDPs
392
MAPDs
ISOSORBIDE MN ER 30 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   13668010401 70
PDPs
392
MAPDs
ISOSORBIDE MN ER 60 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   23155017801 70
PDPs
392
MAPDs
ISOSORBIDE MONONIT 10 MG TABLET [Monoket]
(Isosorbide Mononitrate)
60 tablets   62175010601 59
PDPs
377
MAPDs
ISOSORBIDE MONONIT 20 MG TABLET [Monoket]
(Isosorbide Mononitrate)
60 tablets   62175010701 59
PDPs
378
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT 62175012937 70
PDPs
392
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 52
PDPs
308
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 51
PDPs
310
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 51
PDPs
303
MAPDs
ISOTRETINOIN 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117403 64
PDPs
320
MAPDs
ISOTRETINOIN 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117503 64
PDPs
320
MAPDs
ISOTRETINOIN 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238101703 62
PDPs
317
MAPDs
ISOTRETINOIN 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238117603 64
PDPs
319
MAPDs
ISRADIPINE 2.5 MG CAPSULE [DynaCirc]
(Isradipine)
15 CAPSULES   16252053901 39
PDPs
316
MAPDs
ISRADIPINE 5 MG CAPSULE [DynaCirc]
(Isradipine)
60 CAPSULES   68462080801 39
PDPs
316
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5.000 ML   24208000403 6
PDPs
8
MAPDs
ISTURISA 1 MG TABLET
(Osilodrostat)
20 TABLETS   55292032060 6
PDPs
70
MAPDs
ISTURISA 10 MG TABLET
(Osilodrostat)
20 TABLETS   55292032260 6
PDPs
70
MAPDs
ISTURISA 5 MG TABLET
(Osilodrostat)
20 TABLETS   55292032160 6
PDPs
70
MAPDs
ITRACONAZOLE 10 MG/ML SOLUTION [Sporanox]
(Itraconazole)
150 MLS   10147015001 26
PDPs
174
MAPDs
ITRACONAZOLE 100 MG CAPSULE [Sporanox]
(Itraconazole)
14 CAPSULES   67877045430 70
PDPs
392
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)
20 EA   42799080601 70
PDPs
392
MAPDs
Ixekizumab 1ML 80 MG/ML Auto-Injector [Taltz]
(Ixekizumab)
    00002144511 20
PDPs
235
MAPDs
Ixekizumab 1ML 80 MG/ML Prefilled Syringe [Taltz]
(Ixekizumab)
    00002772411 26
PDPs
244
MAPDs
IXIARO 6 UNIT(6 MCG)/0.5ML SYRINGE
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
ml   42515000201 70
PDPs
392
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 70
PDPs
392
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)
units   51167060001 64
PDPs
382
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 64
PDPs
384
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 64
PDPs
384
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL 00088222033 58
PDPs
310
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 00088221905 58
PDPs
308
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL 00169368712 41
PDPs
279
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)
3 ML 00169643810 41
PDPs
279
MAPDs
LYUMJEV 100 UNIT/ML KWIKPEN INSULN PEN
(Insulin Lispro)
MLS   00002820705 9
PDPs
38
MAPDs
LYUMJEV 100 UNIT/ML VIAL
(Insulin Lispro)
30 MLS   00002772801 9
PDPs
38
MAPDs
LYUMJEV 200 UNIT/ML KWIKPEN INSULN PEN
(Insulin Lispro)
MLS   00002822827 7
PDPs
38
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT 30698003201 70
PDPs
392
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030113 51
PDPs
326
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030213 51
PDPs
326
MAPDs
Myorisan 30 mg capsule
(Isotretinoin)
    61748030313 49
PDPs
325
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030413 51
PDPs
326
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)
3.000 EA   63020007802 70
PDPs
392
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)
3.000 EA   63020007902 70
PDPs
392
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)
3.000 EA   63020008002 70
PDPs
392
MAPDs
NOURIANZ 20 MG TABLET
(Istradefylline)
tablets   42747060290 1
PDPs
88
MAPDs
NOURIANZ 40 MG TABLET
(Istradefylline)
tablets   42747060490 1
PDPs
88
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 10 mL VIAL in CARTON   00169183411 28
PDPs
272
MAPDs
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane & Regular (Human))
1 10 mL VIAL in CARTON   00169183711 28
PDPs
274
MAPDs
NOVOLIN 70-30 FLEXPEN INSULN PEN
(Insulin Regular (Recombinant), Insulin Suspension Isophane (NPH) (Recombinant))
15 MLS   00169300715 28
PDPs
203
MAPDs
NOVOLIN N 100 UNIT/ML FLEXPEN INSULN PEN
(Insulin Isophane (Human))
15 mls   00169300415 26
PDPs
260
MAPDs
NOVOLIN R 100 UNIT/ML FLEXPEN INSULN PEN
(Insulin Regular (Human))
15 mls   00169300315 26
PDPs
259
MAPDs
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Regular (Human))
1 10 mL VIAL in CARTON   00169183311 28
PDPs
272
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)
3 ML   00169330312 29
PDPs
271
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL 00169750111 29
PDPs
271
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR 00169633910 29
PDPs
271
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR 00169369619 29
PDPs
273
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL 00169368512 29
PDPs
273
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 33
PDPs
275
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 33
PDPs
275
MAPDs
PALIPERIDONE ER 1.5 MG TABLET ER 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   10147095103 68
PDPs
392
MAPDs
PALIPERIDONE ER 3 MG TABLET ER 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   10147095203 68
PDPs
392
MAPDs
PALIPERIDONE ER 6 MG TABLET ER 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   10147095303 68
PDPs
392
MAPDs
PALIPERIDONE ER 9 MG TABLET ER 24 [Invega]
(Paliperidone Palmitate IM ER)
30 UNITS   10147095403 68
PDPs
392
MAPDs
PANZYGA 10% (1 G/10 ML) VIAL
(Immune Globulin (Human))
10 mls   00069101101 24
PDPs
177
MAPDs
PANZYGA 10% (10 G/100 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069131202 24
PDPs
177
MAPDs
PANZYGA 10% (2.5 G/25 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069110902 24
PDPs
177
MAPDs
PANZYGA 10% (20 G/200 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069141502 24
PDPs
177
MAPDs
PANZYGA 10% (30 G/300 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069155802 24
PDPs
177
MAPDs
PANZYGA 10% (5 G/50 ML) VIAL
(Immune Globulin (Human))
200 MLS   00069122402 24
PDPs
177
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
    50222050247 42
PDPs
319
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
    50222050347 42
PDPs
319
MAPDs
PLIAGLIS 7%-7% CREAM (g)
()
240 grams   51672530502 0
PDPs
10
MAPDs
PRIMAXIN IV 500; 500mg/100mL; mg/100mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 100 mL in 1 VIAL, SINGLE-DOS
(Imipenem-Cilastatin Intravenous For)
25 VIAL, SINGLE-DOSE   00006351659 0
PDPs
1
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML   44206043820 35
PDPs
307
MAPDs
PROPRANOLOL 80 MG TABLET [Inderal]
(Propranolol)
60 tablets   00115166201 70
PDPs
392
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087002203 20
PDPs
225
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087004403 20
PDPs
225
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087332201 20
PDPs
220
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087334401 20
PDPs
220
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML   44087018801 20
PDPs
220
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
    44087882201 20
PDPs
222
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117.000 GM   24338018304 1
PDPs
70
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)
    00024576105 33
PDPs
258
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
    00299382345 17
PDPs
40
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT 50458029004 3
PDPs
9
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT 50458029515 0
PDPs
4
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD 00006003220 3
PDPs
12
MAPDs
SUMATRIPTAN 20 MG NASAL SPRAY [Imitrex]
()
6 UNITS   00781652386 67
PDPs
374
MAPDs
SUMATRIPTAN SUCC 100 MG TABLET [Imitrex]
()
9 TABLETS   65862014836 70
PDPs
392
MAPDs
SUMATRIPTAN SUCC 25 MG TABLET [Imitrex]
()
9 tablets   65862014636 70
PDPs
392
MAPDs
SYMDEKO 100/150 MG-150 MG TABS
(Ivacaftor;Tezacaftor, Ivacaftor)
56   51167066101 53
PDPs
338
MAPDs
SYMDEKO 50/75 MG-75 MG TABLET SEQ
(Ivacaftor;Tezacaftor, Ivacaftor)
units   51167011301 55
PDPs
338
MAPDs
TEGSEDI 284 MG/1.5 ML SYRINGE
(Inotersen)
mls   72126000701 16
PDPs
144
MAPDs
TIBSOVO 250 MG TABLET
(Ivosidenib)
tablets   71334010001 70
PDPs
392
MAPDs
TIVORBEX 20 MG CAPSULE
(Indomethacin)
4 capsules   69344020129 0
PDPs
5
MAPDs
TIVORBEX 40 MG CAPSULE
(Indomethacin)
capsules   69344020229 0
PDPs
5
MAPDs
TOLSURA 65 MG CAPSULE SD DSP
(Itraconazole)
units   51862046260 2
PDPs
29
MAPDs
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN
(Insulin Glargine)
6 mls   00024587102 58
PDPs
301
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)
1.5 ML   00024586903 58
PDPs
301
MAPDs
TRESIBA 100 UNIT/ML VIAL
(Insulin Degludec)
10 mls   00169266211 39
PDPs
257
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)
    00169266015 39
PDPs
258
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)
    00169255013 39
PDPs
258
MAPDs
UTIBRON NEOHALER 27.5-15.6 MCG CAPSULE W/DEV
(Indacaterol and glycopyrrolate)
60 units   63402068160 0
PDPs
9
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
    66215030330 51
PDPs
289
MAPDs
VENTAVIS 10 MCG/1 ML SOLUTION AMPUL-NEB
(Iloprost)
ml   66215030200 51
PDPs
289
MAPDs
VERAPAMIL 40 MG TABLET [Isoptin SR]
(Verapamil HCl)
90 tablets   23155005901 70
PDPs
392
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)
3 ML   00169291115 27
PDPs
239
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA   55111013581 52
PDPs
336
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013681 52
PDPs
336
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA   55111011381 51
PDPs
337
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013781 52
PDPs
336
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
    99207027675 4
PDPs
111
MAPDs
ZYCLARA 3.75% CREAM PUMP
(Imiquimod)
    99207027175 1
PDPs
49
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA   61958170101 70
PDPs
392
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA   61958170201 70
PDPs
392
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data October 2020)




Tips & Disclaimers
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  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.